Which of the following is a sign of inhalant exposure?

• A. Smell on patient
• B. ALOC
• C. Glassy-eyed
• D. All of the above

Answer: (D)

Inhalant exposure typically produces signs that reflect CNS depression and the chemical irritants involved. When you encounter a distinct solvent odor on the patient, along with a decreased level of consciousness and a glassy, vacant look in the eyes, these together point toward inhalant exposure. The odor comes from the chemicals themselves, the altered mental status comes from their effects on the brain, and the glassy-eyed appearance is a common sign of intoxication. While each sign can occur with other conditions, seeing all three together forms a strong pattern for inhalants. In your care, prioritize airway and breathing, provide oxygen as needed, monitor closely, and transport promptly since inhalants can compromise respiration and circulation.